摘要
目的评价椎板间入路的完全脊柱内镜手术治疗L_(4~5)腰椎间盘突出症的临床效果。方法回顾性分析86例L_(4~5)腰椎间盘突出症病人的临床资料,采用经皮椎板间入路完全内镜手术治疗。比较手术前后下肢VAS和腰椎JOA评分。结果所有病人顺利完成手术,无严重并发症。术后6个月复发2例,再次手术摘除突出的椎间盘。所有病人术后3 d、6个月、12个月下肢VAS和腰椎JOA评分较术前差异有统计学意义(P<0.05)。结论经皮椎板间入路完全内镜手术治疗L_(4~5)椎间盘突出症具有微创、术后恢复快等特点,可获得良好的临床疗效。
Objective To evaluate the clinical outcome of full endoscopic for L4-5 lumbar disc herniation via interlaminar approach. Methods Clincal data of 86 patients with L4-5 lumbar disc herniation were analyzed retrospectively, who underwent percutaneous endoscopic discectomy via interlaminar approach. The lower limb VAS and lumbar vertebral JOA score before and after surgery were compared. Results All the patients underwent successful surgery. No serious complications occurred. Relapse was found in 2 patients 6 months after surgery, who received second surgery to remove the herniated lumbar disc. Compared with preoperation, the lower limb VAS and lumbar vertebral JOA scores of patients were better at 3 d, 6 months and 12 months after surgery （P 〈 0.05）. Conclusion Percutaneous full endoscopic discectomy for L4_5 lumbar disc herniation via interlaminar approach has characteristics of minimal invasion and quick recovery, and thus could obtain good clinical outcomes.
出处
《中国微侵袭神经外科杂志》
CAS
2017年第4期176-178,共3页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
椎间盘移位
内镜
入路
椎板间
椎间盘切除术
经皮
intervertebral disk displacement
endoscopy
approach, interlaminar
discectomy, percutaneous
